Register for Electronic Funds Transfer
Mercy Care Advantage offers electronic funds payment directly to your bank account.
If you would be interested in this option, please click here to access the Electronic Funds Transfer (EFT) Authorization
Form. Complete the top portion in its entirety and return it along with a voided
check or preprinted deposit slip for verification of your bank account number. Completed
information may be returned by mail or faxed to:
Mercy Care Advantage
Attn: Provider Services
4350 E. Cotton Center Blvd. Bldg D
Phoenix, Arizona 85040
Fax: (602) 263-3034